Cryptographic authentication for telemetry with an implantable medical device

ABSTRACT

Integrity of a wirelessly telemetered message communicated between an implantable medical device and an external programmer is authenticated by encoding the message. The message is encrypted based on a random number or time stamp and a secret key. The message is authenticated by encryption and decryption or by executing a hash function.

CROSS-REFERENCE TO RELATED APPLICATIONS

This document is related to commonly assigned U.S. patent applicationSer. No. 10/601,763, filed Jun. 23, 2003, entitled SECURE LONG-RANGETELEMETRY FOR IMPLANTABLE MEDICAL DEVICE, the specification of which isincorporated herein by reference.

This document is related to commonly assigned U.S. patent applicationSer. No. ______, filed Mar. ______, 2004, entitled SYSTEM AND METHOD FORSECURELY AUTHENTICATING A DATA EXCHANGE SESSION WITH AN IMPLANTABLEMEDICAL DEVICE, Attorney Docket 020.0328.US.UTL, the specification ofwhich is incorporated herein by reference.

This document is related to commonly assigned U.S. patent applicationSer. No. ______, filed Mar. ______, 2004, entitled SYSTEM AND METHOD FORPROVIDING SECURE EXCHANGE OF SENSITVE INFORMATION WITH AN IMPLANTABLEMEDICAL DEVICE, Attorney Docket 020.0329.US.UTL, the specification ofwhich is incorporated herein by reference.

TECHNICAL FIELD

This subject matter pertains to implantable medical devices such ascardiac pacemakers and implantable cardioverter/defibrillators. Inparticular, the subject matter relates to data authentication fortelemetry using implantable medical devices.

BACKGROUND

Implantable medical devices, including cardiac rhythm management devicessuch as pacemakers and implantable cardioverter/defibrillators, usuallyhave the capability to communicate data with a device called an externalprogrammer via a radio frequency telemetry link.

The traditional implantable medical device exchanges data with a remoteprogrammer by means of an inductive telemetry coil or other short rangecommunications channel. A hand held wand is positioned within severalinches of the implantable device and the data is transferred by aninductive coupling.

With the advent of long range telemetry of messages, and the associatedincrease in communication range, the risk that a message can becompromised is increased. For example, a replay attack can be launchedin which a message, or a piece of a message, can be captured and thenmaliciously used at a later time.

What is needed are systems and methods for improved telemetry.

SUMMARY

The present subject matter includes methods and systems forauthenticating data communicated in a message. In particular, thepresent subject matter provides methods and systems to verify that theintegrity of a message has not been compromised and that thecommunication session is authorized.

In one embodiment, the message is conveyed using a symmetric encryptionalgorithm in which the message is encrypted and decrypted using the samekey. In one embodiment, the message is conveyed using a one way hashalgorithm used by both the sender and receiver and allows the receiverto verify that the message integrity is preserved.

Other aspects will be apparent on reading the following detaileddescription and viewing the drawings that form a part thereof.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A illustrates a system providing inductive telemetry and longrange telemetry for an implantable device.

FIG. 1B illustrates an inductive telemetry device.

FIG. 2 illustrates a telemetry system having a hash-based cryptographicalgorithm according to one embodiment.

FIG. 3 illustrates a flow chart of a method according to one embodiment.

FIG. 4 illustrates a telemetry system having a symmetrical encryptioncryptographic algorithm according to one embodiment.

FIG. 5 illustrates a flow chart of a method according to one embodiment.

DETAILED DESCRIPTION

In the following detailed description, reference is made to theaccompanying drawings that form a part hereof, and in which is shown, byway of illustration, specific embodiments in which the present subjectmatter may be practiced. These embodiments are described in sufficientdetail to enable those skilled in the art to practice the subjectmatter, and it is to be understood that the embodiments may be combined,or that other embodiments may be utilized and that structural,mechanical, logical and electrical changes may be made without departingfrom the scope of the present subject matter. The following detaileddescription is, therefore, not to be taken in a limiting sense, and thescope of the present subject matter is defined by the appended claimsand their equivalents.

As noted above, conventional telemetry systems used for implantablemedical devices such as cardiac pacemakers utilize inductive couplingbetween the antennas of the implantable device and an externalprogrammer in order to transmit and receive signals. Because theinduction field produced by a transmitting antenna falls off rapidlywith distance, such systems require close proximity between theimplantable device and a wand antenna of the external programmer inorder to work properly with the distance between devices usually on theorder of a few inches.

The present subject matter, on the other hand, includes an apparatus andmethod for enabling telemetry with an implantable medical deviceutilizing far field radiation. Communication using far field radiationcan take place over a greater distance. This enables other applicationsof the telemetry system such as remote monitoring of patients andcommunication with other types of external devices. Telemetry based onfar field radiation includes radio frequency telemetry, acoustictelemetry and e-field telemetry.

FIG. 1A illustrates system 20A having external device 30 and implantabledevice 60. External device 30 is sometimes referred to as a programmeror repeater. A programmer, in various embodiments, includes a displayscreen, a printer or other output device that conveys data to anoperator and receives data or other instructions entered by a humanoperator or received from an input interface. A repeater, in variousembodiments, includes a device having an interface to a communicationnetwork that enables remote monitoring or programming. A repeater, invarious embodiments, refers to a device that communicates between animplantable device and a communication network, effectively extendingthe communication range. In one embodiment, a repeater is connected to atelephone line within a home thus allowing medical personnel to monitoran implantable device of an occupant of the home via the plain oldtelephone service (POTS) network. In one embodiment, a repeater iscommunicatively coupled to a network such as the internet by means of acable modem or other interface.

Implantable device 60 includes a pacemaker, a cardioverter, adefibrillator or other implantable device configured for monitoringphysiological conditions or a delivering therapy by way of electricalenergy, a drug or any combination thereof.

External device 30 includes memory 32, processor 34, data entry port 36,data output port 38, telemetry 40 and telemetry 42.

Memory 32 is adapted for storing data, firmware and software forimplementing an algorithm according to the present subject matter.Memory 32, in various embodiments, includes read-only memory, randomaccess memory or other types of storage.

Processor 34 is configured to execute an authentication algorithm storedin memory 32.

Data entry port 36 is coupled to processor 34. Data entry port 36includes, in various embodiments, a keyboard, a mouse, a controller, adata storage device or other date entry means. In one embodiment, thedata entry port includes a wired or wireless network connection, a modemor a data bus. Data entry port 36 receives data or instructions which,directly or indirectly, serves as the message to be communicated to thereceiving device. In one embodiment, processor 34 independentlygenerates a message for implantable device 60 based on measured orcalculated parameters.

Data output port 38 is coupled to processor 34. Data output port 38, invarious embodiments includes a printer, a display, an audio transducer,a data storage device or other output device. Data output port 38 allowsthe results, data or a message from the implantable device or theexternal device to be perceivable by a human operator.

Telemetry 40 includes a far field transceiver and is coupled to anantenna configured for transmitting and receiving far field radiation.Telemetry 42 includes a near field wireless telemetry transceiver and inone embodiment, includes an inductive antenna. Far field wirelesscommunication means, such as far field radio frequency coupling, andnear field wireless communication means, such as inductive coupling, aredisclosed in commonly assigned U.S. patent application Ser. No.10/025,183, filed Dec. 19, 2001, entitled “AN IMPLANTABLE MEDICAL DEVICEWITH TWO OR MORE TELEMETRY SYSTEMS,” inventor Jeffrey A. Von Arx et al.,and is herein incorporated by reference.

Implantable device 60 includes memory 62, processor 64, electricalcircuit 66, telemetry 68 and telemetry 70.

Memory 62 is adapted for storing data, firmware and software forimplementing an algorithm according to the present subject matter.Memory 62, in various embodiments, includes read-only memory, randomaccess memory or other types of storage.

Processor 64 is configured to execute an authentication algorithm storedin memory 62.

Electrical circuit 66 includes, in various embodiments, a pulsegenerator, pacemaker, cardioverter/defibrillator, therapy circuit,monitor circuit, minute ventilation sensor, impedance measurementcircuit, respiratory sensor, or other circuit configured to delivertherapy or configured to monitor a physiological condition or event.

Telemetry 68 includes a transceiver and is coupled to an antennaconfigured for transmitting and receiving far field radiation and iscompatible with telemetry 40 of external device 30. Telemetry 70includes a near field wireless telemetry transceiver and in oneembodiment, includes an inductive antenna and is compatible withtelemetry 42 of external device 30. In addition to an inductive antennain the form of a loop, other antenna forms are also contemplated,including, for example, a solenoid.

External device 30 and implantable device 60 are configured to enablefar field communication between telemetry 40 and telemetry 68 usingradio frequency transmissions. In addition, external device 30 andimplantable device 60 are configured to enable near field communicationbetween telemetry 42 and telemetry 70 using inductively coupledantennas.

In one embodiment, a far field communication session is initiated byfirst establishing an inductively coupled communication session. In theembodiment illustrated in FIG. 1A, external device 30 includes telemetry42 for communicating using a near field antenna with implantable device60. In the embodiment illustrated in FIG. 1B, an auxiliary or externaldevice 80 is used to communicate using an inductively coupled antennawith implantable device 60. Auxiliary device 80 can be used to establishcommunications via the inductive antenna with telemetry 70 followed by atransition to far field communications between telemetry 40 andtelemetry 68. Device 80 includes processor 82, inductive telemetry 84,antenna 86, electrical circuit 24 and memory 26. Device 80 is incommunication with processor 34 of external device 30 via link 37. Link37 includes a channel by which secure data can be communicated. Forexample, in one embodiment, link 37 is used to relay cryptographic keyfrom device 80 to device 30. Link 37, in various embodiments, includes awired connection and a wireless communication channel.

FIG. 2 illustrates system 20B including first device 210A and seconddevice 240A, one of which is implantable in a body and one of which isexternal. For example, in one embodiment, device 210A includes arepeater or programmer and device 240A includes an implantable pulsegenerator. Either device 210A or device 240A of FIG. 2 can beimplemented in a device corresponding to either external device 30 orimplantable device 60 of FIG. 1A.

In general, an implantable device and an external device differ in theavailable power supply and the processing capacity. In particular, thepower supply of an external device, whether a programmer or a repeater,includes conveniently replaceable or rechargeable batteries or includesa wired connection to a metered line service. In contrast, the powersupply of an implantable device is typically a battery that requires asurgical procedure to replace or cannot be conveniently recharged.Because of the limited power supply availability, and also physical sizeconsiderations, the processing capacity of an implantable device istypically comparatively less than that of an external device.

Device 210A includes, among other elements, memory 215, memory 220,message module 225 and hash value generator 230. While shown to beseparate, it will be understood that selected elements of device 210Acan be combined. For example, memory 215 and memory 220 can exist in asingle physical memory device and message module 225 and hash valuegenerator 230 may be embodied in a processor alone or in a processoralong with a data input device such as a network connection or akeyboard.

Memory 215 provides storage for a secret key. The key is a string ofcharacters that is preserved in confidence. In general, a lengthy keyprovides greater security than a shorter key.

Memory 220 provides storage for a code. In one embodiment, the code isstring of characters that serves as a message key to enablecommunications for a particular message in a communication session. Thecommunication session refers to a series of exchanges that may occur,for example, during a follow-up visit at a medical facility. In oneembodiment, each message of a session is authenticated with a uniquecode. In various embodiments, the code includes a time stamp or a randomnumber generated by second device 240A, as illustrated in the figure, orgenerated by first device 210A. The code provides a measure of freshnessto thwart a replay attack in which a message (or a fragment of amessage) is captured by an unauthorized user and later used tocompromise the communication system.

Message module 225, in the embodiment illustrated, represents themessage to be conveyed to second device 240A. In one embodiment, messagemodule 225 includes, or is coupled to, a data entry device such as akeyboard. In one embodiment, message module 225 includes a memory forstoring data generated as a function of an algorithm executed on aprocessor. In one embodiment, message module 225 includes a networkconnection by which an instruction is received from a remote processorfor delivery to second device 240A. In one embodiment, message module225 generates a message based on measured physiological or otherparameters determined by an implantable device.

Using the key received from memory 215, the code received from memory220, and the message received from message module 225, hash valuegenerator 230 calculates a unique value according to a hash function.The hash function is a one-way function that takes a variable lengthinput string and converts it to a fixed length, and generally smaller,output string called a hash value, message digest or fingerprint. Inparticular, because one of the inputs to hash value generator 230 is asecret key, the output hash value is referred to as a messageauthentication code (MAC) or data authentication code (DAC). In thefigure, the message authentication code generated by device 210A isdenoted as MAC₁ 235.

A hash algorithm is deemed secure since it is computationally infeasibleto find a message which corresponds to a given message digest, or tofind two different messages which produce the same message digest.Consequently, a changed message will result in a detectable change inthe message digest.

A variety of hash algorithms can be used to generate a hash value, andconsequently, a message authentication code. For example, the SecureHash Algorithm (SHA-1) produces a condensed representation of a messageor a data file. Algorithm SHA-1 is specified in FIPS PUB 180-1 SecureHash Standard April 1995, which is incorporated herein by reference.Algorithm SHA-1 can condense a message of up to 264 bits and produce amessage digest of 20 bytes. Additional examples of hash algorithmsinclude message-digest algorithms, some of which are known as MD2, MD4and MD5. Algorithms MD2, MD4 and MD5 each provides a condensed messagedigest of 128-bit length. Descriptions and source code for MD2, MD4 andMD5 can be found at Internet Request for Comment RFC 1319, RFC 1320 andRFC 1321, each of which are incorporated herein by reference.

Second device 240A includes code generator 245B, which in variousembodiments, generates a time stamp, a random number or some othermeasure of freshness. The output of code generator 245B is stored inmemory 260 of second device 240A. In one embodiment, the code generatedby code generator 245B is synchronized with the code generated by codegenerator 245A of device 210A, as shown by communication link 292. Byway of example, the codes may be synchronized by coordinating for theuse of the same seed used in a random number generator. Code generator245A provides a code for storage in memory 220 of device 210A. In oneembodiment, communication link 292 is a wired or wireless plaintext linkwhich communicates without encryption. In another embodiment, the codeis transmitted using an encryption or other secure communication scheme.In the embodiment illustrated in the figure, code generator 245A andcode generator 245B include real time clocks that are synchronized andeach provides a timestamp.

In one embodiment, the code includes a time stamp and both first device210A and second device 240A include a real time clock configured togenerate the code. In one embodiment, a random number is used for thecode, and the device receiving the message selects the code and sendsthe code to the message sending device before transmitting the message.For a bidirectional link, both the first device 210A and the seconddevice 240A include a code generator.

According to one embodiment, the key is distributed to the communicationparticipants at the outset of the communication session. In oneembodiment, the key is received by the external device from theimplantable device by using an inductive telemetry system. The inductivetelemetry link is used to initiate the communication session anddistribute the key.

In various embodiments, the key remains valid for a predetermined periodof time, for a predetermined number of exchanges or until otherwisecanceled or replaced by another key. In one embodiment, the key remainsvalid for the duration of a communication session and is exchangedbetween the communication participants by an inductive link. Forexample, the key for an implantable device may remain valid for a day, aweek, a month, a year or for the life of the device. In one embodiment,an initial key is generated by an implantable device and subsequentcodes can be established by either the implantable device or an externaldevice. In one embodiment, the key for an implantable device can bechanged by an encrypted exchange using a programmer.

In an embodiment where the code is selected by one side of the link (forexample, if a code other than a timestamp is used), then the messagereceiver chooses the code for that message. If, on the other hand, themessage sender were allowed to choose the code, then the communicationsession would be susceptible to a replay attack. In a replay attack, thelegitimate sender chooses a code, communicates the code to the receiver,and then sends a valid command. A hostile sender records this exchangeand later hijacks the session. Now the hostile sender can replay theearlier exchange and the message receiver would receive a legitimatecode (the same code as received previously), and then a legitimatecommand (the same command as received previously).

To prevent a replay attack, the sequence is as follows: First themessage originating device requests a code from the message receivingdevice. The message receiving device randomly selects a code for thatmessage and communicates the code (as plaintext or ciphertext) to themessage originating device. The message sending device then sends themessage along with the hash generated with the key and the code. In thissequence of events, a hostile sender replaying an earlier code cannotfool the receiver.

Second device 240A includes memory 255 configured to store the key. Thekey is distributed to the communication participants in a secure manner.In one embodiment, the key is established at the time of devicemanufacture or at the time of implantation of the device. In addition,the key is preserved in a manner that is inaccessible to unauthorizeddevices. In one embodiment, the key is exchanged at the beginning of thetelemetry session by an inductively coupled communication link.

In one embodiment, the key is generated by executing a hash functionbased on data specific to the particular device. For example, at leastone of any combination of the time of manufacture, the date ofmanufacture, the model number and the serial number of an implantabledevice are used as the input to a hash algorithm and the key isdetermined as a function of the message digest. Other device specificdata can also be used in generating the message digest, and thus, thekey. For example, in one embodiment, measured or calculated parametersor characteristics specific to the performance of the device are used asthe input to the hash function. In one embodiment, the data used for theinput of the hash function is stored in a memory location that isgenerally inaccessible to external readers or other devices. In oneembodiment, the data used for the input of the hash function is storedin a memory location that can be read with an inductively coupled linkusing, for example, a loop antenna. In one embodiment, the hash functionused to generate the key is different than the hash function executed togenerate the message authentication code.

Second device 240A includes memory 250 configured to store the message.In one embodiment, the message is transmitted from first device 210A tosecond device 240A in plaintext as indicated by communication link 294.In one embodiment, the message is transmitted in encrypted form.

Second device 240A includes hash value generator 265 which is coupled tomemory 250, memory 255 and memory 260. In one embodiment, a singlememory device includes at least one of any combination of the storageregisters denoted herein as memory 250, memory 255 and memory 260. Hashvalue generator 265 receives the message from memory 250, the key frommemory 255 and the code from memory 260 and calculates a unique hashvalue according to a hash function. The hash value generated by hashvalue generator 265 is a message authentication code denoted as MAC₂270. Hash value generator 265, in one embodiment, includes a processorexecuting an algorithm stored in a memory of second device 240A. Thehash function executed by hash value generator 265 is the same as thehash function executed by hash value generator 230.

Second device 240A includes comparator 275 which generates an outputbased on a comparison of MAC₁ 235 and MAC₂ 270. Communication link 296provides a communication channel by which MAC₁ 235 is provided to seconddevice 240A for storage in memory 280. In various embodiments,communication link 296 conveys plaintext or ciphertext. Comparator 275,in one embodiment, includes a processor of second device 240A.

The output of comparator 275 is evaluated at query 285 where it isdetermined if MAC₁ 235 matches MAC₂ 270. If no difference is noted bythe comparison of MAC₁ 235 and MAC₂ 270, then the message is treated asauthenticated and if a difference is noted by the comparison, then themessage is treated as unauthenticated. If the message is authenticated,then further processing of the message is conducted by other elements ofsecond device 240A, some of which are not illustrated in the figure. Ifthe message is not authenticated, then, in one embodiment, no furtheraction is taken. If the message is not authenticated, then, in oneembodiment, an error flag is set and further action is takenaccordingly. In one embodiment, query 285 includes an algorithm executedon a processor of second device 240A.

Representative communication links 292, 294 and 296 are, in variousembodiments, wireless communication channels. For example, links 292,294 and 296 include at least one of any combination of an inductivetelemetry channel and a far field telemetry channel. Other communicationlinks are also contemplated. For example, in one embodiment, a linkincluding a loop antenna is provided for exchanging the key using shortrange telemetry. In addition, according to one embodiment, the code ischanged for each message exchanged in a communication session using link292. In one embodiment, links 292, 294 and 296 are far field links andinclude a far field transmitter. For example, communication link 294conveys the message in plaintext and communication link 296 conveysmessage authentication code 235 generated by first device 210A, also inplaintext.

In one embodiment, link 292 is omitted because both first device 210Aand second device 240A include real time clocks which serve as codegenerators. In one embodiment, a new code is generated, using the realtime clock, for each message that is sent and the code is sent inplaintext using a far field transmission.

FIG. 3 illustrates method 300 performed by one embodiment of the presentsubject matter. Other methods are also contemplated wherein the sequenceof events is altered or some events are omitted. Method 300 entailscommunicating a message from a first device to a second device where theauthenticity of the message is verified by the second device. Beginningat 305, the method proceeds to 310 where a secret key is stored in boththe first device and the second device. The key includes a predeterminedstring of characters, the identity of which is normally maintained inconfidence and known only by the second device and an authorized firstdevice. In one embodiment, the key is stored in a memory of the seconddevice that is rendered unreadable by remote means to guard againstunauthorized access. In one embodiment, the key is exchanged by aninductive link. The key can be exchanged as encrypted or plaintext.

At 315, a code is received by the first device from the second device.The code is received by the first device by a communication link suchas, for example, far field telemetry link. The code, in variousembodiments, includes a time stamp or a random number generated by thesecond device. After 315, both the first device and the second devicehave the code stored in a memory. In one embodiment, the code isexchanged in plaintext.

At 320, the first device generates a message authentication code basedon the key, the code and a message. The message authentication codeincludes a one way hash value. The message, in various embodiments,includes an instruction, data or other content.

At 325, the hash value generated by the first device is communicated tothe second device. In addition, the message is transmitted from thefirst device to the second device. The hash value and the message, inone embodiment, are transmitted in plaintext using a far fieldtransmitter.

At 330, the hash value and the message are received by the second deviceand stored in a memory.

At 335, the second device independently generates a second hash valuebased on the stored key, the stored code and the message received fromthe first device. In one embodiment, the second hash value is a messageauthentication code calculated using an algorithm that matches that ofthe first device.

At 340, the hash value received from the first device and the hash valuecalculated by the second device are compared at the second device. Theauthenticity of the message is confirmed if the hash values match.

Method 300 ends at 345 however other processing may occur. For example,in one embodiment, subsequent algorithms or procedures are executeddepending on the outcome of the comparison of hash values. Inparticular, according to one embodiment, if the authenticity of themessage is confirmed, then any instruction in the message is executedand if the authenticity is not confirmed, then the message is discarded.

FIG. 4 illustrates system 20C in which a symmetrical encryptionalgorithm is used to authenticate a message communicated between firstdevice 210B and second device 240B. As noted elsewhere in this document,memory 215 of first device 210B and memory 255 of second device 240Beach provides storage for a secret key. In addition, memory 220 of firstdevice 210B and memory 260 of second device 240B each receive afreshness code from code generator 245C of second device 240B. The codeis transmitted from second device 240B to first device 210B by way ofcommunication link 292. In the embodiment illustrated in the figure, asingle code generator 245C is located in device 240B and provides a codeto first device 210B as well as second device 240B.

According to the embodiment shown in the figure, the message isoriginated at the first device 210B within message module 225. Themessage may be generated based on data received using a keyboard, astorage device or other data entry means. In addition, the message maybe generated based on data received from a remote device andcommunicated to first device 210B by a network or other communicationmeans. The message, in various embodiments includes data andinstructions.

In the embodiment illustrated, first device 210B includes encryptionalgorithm 430 executed by a processor. Encryption algorithm 430generates ciphertext 435 as a function of the key, the code and themessage. Without the key and the code, an unauthorized receiver ispresumed to be incapable of determining the message contents basedsolely on the ciphertext.

A variety of symmetric encryption methods are available. Examplesinclude Data Encryption Standard (DES), Triple Data Encryption Standard(3DES), Advanced Encryption Standard (AES, Federal InformationProcessing Standards Publications 197), International Data EncryptionAlgorithm (IDEA), Blowfish (designed in 1993 by Bruce Schneier) and CAST(Entrust® Technologies), the standards for each are hereby incorporatedby reference. Additional information concerning some of these methodsare available from the Computer Security Division of the InformationTechnology Laboratory (ITL), an organization established under theComputer Security Act of 1987 (P.L. 100-235).

Ciphertext 435 is wirelessly communicated from first device 210B tosecond device 240B using communication link 437. In one embodiment,communication link 437 includes a far field communication channel.

Second device 240B includes memory 440 configured to store ciphertext435 and includes a processor configured to execute decryption algorithm465. Decryption algorithm 465 generates plaintext message 470 as afunction of the key, the code and ciphertext 435.

Second device 240B includes a processor configured to execute anauthentication checking algorithm 475. Authentication checking algorithm475, in various embodiments, calculates a cyclic redundancy check valuewhich is then compared with a stored or received value. In oneembodiment, authentication checking algorithm 475 verifies a transmitteridentity code contained in the received message to confirm identity ofthe sender.

FIG. 5 illustrates method 500 performed by one embodiment of the presentsubject matter. Other methods are also contemplated wherein the sequenceof events is altered or some events are omitted. Method 500 entailscommunicating a message from a first device to a second device where theauthenticity of the message is verified by the second device. Beginningat 505, the method proceeds to 510 where a secret key is stored in boththe first device and the second device. The key includes a predeterminedstring of characters the identity of which is normally maintained inconfidence and known only by the second device and an authorized firstdevice. In one embodiment, the key is stored in a memory of the seconddevice that is rendered unreadable by remote means to guard againstunauthorized access. In one embodiment, the key is exchanged inductivelyand may be in either ciphertext or plaintext.

At 510, a code is received by the first device from the second device.In one embodiment, the code is received by the second device by acommunication link which includes a far field antenna. The code, invarious embodiments includes a time stamp or a random number generatedby the second device. After 515, both the first device and the seconddevice have the code stored in a memory. The code is sent in plaintextand, in one embodiment, a new code is selected for each message in asession.

At 520, the first device generates ciphertext based on the key, the codeand a plaintext message. The message, in various embodiments, includesan instruction, data or other content.

At 525, ciphertext generated by the first device is communicated to thesecond device. The ciphertext, in one embodiment, is transmitted using afar field transmitter.

At 530, the received ciphertext is decrypted as a function of the storedkey and the stored code to generate the plaintext message.

At 535, the plaintext message is authenticated by analyzing the messagecontents. For example, in one embodiment, an identification codeassociated with the message originator is compared with a stored valueto verify that the message originator is genuine. In one embodiment, theidentification code associated with the message originator is comparedwith a value received in the message to verify that the messageoriginator is genuine. In one embodiment, an error detection code iscalculated to authenticate the message. In one embodiment, the errordetection code includes a cyclic redundancy code. The error detectioncode received in the message is compared with a value calculated as afunction of the message.

Method 500 ends at 540 however other processing may occur. For example,in one embodiment, subsequent algorithms or procedures are executeddepending on the outcome of the authentication. In particular, accordingto one embodiment, if the authenticity of the message is confirmed, thenany instruction in the message is executed and if the authenticity isnot confirmed, then the message is discarded.

Alternative Embodiments

In one embodiment, the message authentication code is generated by ahash value generator operating at the first device and compared with amessage authentication code generated by a hash value generatoroperating at the second device. In one embodiment, the algorithms arethe same.

In one embodiment, both the pulse generator (implantable device) and theprogrammer (external device) are in possession of the secret key. At theoutset of a communication session, the pulse generator sends a randomnumber or a time stamp to the programmer. The programmer then calculatesa first message authentication code based on the secret key, the randomnumber (or time stamp) and message to be transmitted to the pulsegenerator. The programmer then transmits the message and the firstmessage authentication code to the pulse generator. The pulse generatorthen calculates a second message authentication code based on the secretkey, the random number (or time stamp) and the received message. Todetermine the authenticity of the message, the pulse generator comparesthe first and second message authentication codes.

In one embodiment, the present subject matter is applied to authenticatedata transmitted from an implantable device to an external device. Inone embodiment, the present subject matter is applied to authenticatedata transmitted from an external device to an implantable device.

In one embodiment, all data communicated between the first device andthe second device is authenticated. In one embodiment, predeterminedframes or other subsets of data communicated between the first deviceand the second device are subjected to authentication.

In one embodiment, the length of the secret key or the code is adjustedbased on security considerations or other factors.

In the examples illustrated herein, the code generator is described aspart of the second device. However, in one embodiment, the codegenerator is part of the first device and the resulting code is conveyedto the second device.

In one embodiment, the message to be communicated is padded before amessage digest is calculated using a hash algorithm. The message ispadded by adding additional bits to yield a message length suitable foruse with the hash algorithm.

In one embodiment, a particular encryption algorithm is repeatedmultiple times to enhance security. In one embodiment, the messageauthentication code is subjected to an additional hashing functionbefore transmission or comparing. In one embodiment, the messageauthentication code is encrypted prior to transmission from one deviceto another. In one embodiment, multiple rounds of one encryptionalgorithm or a different algorithm are executed prior to transmittingthe ciphertext.

In one embodiment, the key is encrypted prior to communicating.

In one embodiment, rather then using a session key and a code, thesystem uses a message key that varies over time. For example, in oneembodiment, the message key is obtained by performing a logicaloperation, such as an exclusive OR, using the session key and the code.Accordingly, a hash value is generated using the time varying messagekey and the message.

In one embodiment, a time stamp is used as the code. For example, with aresolution of one second, the code changes at every second. At thebeginning of a communication session, the real time clocks of the twodevices (for example, an implantable device and an external programmer)are aligned. The clocks will typically drift apart throughout theduration of the communication session. The message originator transmitsboth the message and a time stamp to the receiver in plaintext.Following transmission of the message, the message originator transmitsa message authentication code in the clear (plaintext) which wasgenerated by executing the hashing function (for example, by using SHA-1as the hashing algorithm) on the session key, the time stamp and themessage. The message receiver then compares the received time stamp(which was sent in the clear) with the time stamp generated by the codegenerator (or real time clock) of message receiver. If the received timestamp differs from the generated time stamp by an amount greater than apredetermined value, then the message is discarded without furtherprocessing. If the received time stamp and the generated time stamp aresufficiently close (for example, they differ by an amount less than thepredetermined value), then the message is processed further. In oneembodiment, the predetermined value is eight seconds. If the time stampsare sufficiently close, then the message receiver generates a messageauthentication code which is then compared to the message authenticationcode received from the message originator. If the message authenticationcodes match, then the message is authenticated.

In one embodiment, the hash function includes an authenticationalgorithm referred to as HMAC and described by RFC 2104. The algorithmis described in FIPS PUB 198, Federal Information Processing StandardsPublication, The Keyed-Hash Message Authentication Code (HMAC);Category: Computer Security Subcategory: Cryptography; InformationTechnology Laboratory, National Institute of Standards and Technology,Gaithersburg, Md. 20899-8900, Issued Mar. 6, 2002, and is hereinincorporated by reference.

Pursuant to HMAC, a secret key provides data integrity and data originauthentication. HMAC can be implemented using an iterative cryptographichash function such as MD5, SHA-1 and others. In addition, HMAC uses asecret key for calculation and verification of the messageauthentication values.

Pursuant to HMAC, the cryptographic hash function is denoted as H andthe secret key is denoted as K. Function H is a cryptographic hashfunction where data is hashed by iterating a basic compression functionon blocks of data. In addition, B denotes the byte-length of such blocksand L denotes the byte-length of hash outputs. The secret key K can beof any length up to B. For keys longer than B, first hash K using H andthen use the resultant L byte string as the actual key to HMAC. Twofixed and different strings ipad (inner) and opad (outer) are alsodefined as ipad=the byte 0×36 repeated B times and opad=the byte 0×5Crepeated B times. As such, HMAC over the data ‘text’ is calculated asH(K XOR opad, H(K XOR ipad, text)). In particular, the HMAC methodentails the following sequence of steps:

-   -   (1) append zeros to the end of K to create a B byte string        (e.g., if K is of length 20 bytes and B=64, then K will be        appended with 44 zero bytes 0×00);    -   (2) XOR (bitwise exclusive-OR) the B byte string computed in        step (1) with ipad;    -   (3) append the stream of data ‘text’ to the B byte string        resulting from step (2);    -   (4) apply H to the stream generated in step (3);    -   (5) XOR (bitwise exclusive-OR) the B byte string computed in        step (1) with opad;    -   (6) append the H result from step (4) to the B byte string        resulting from step (5); and    -   (7) apply H to the stream generated in step (6) and output the        result.

In one embodiment, the hash function includes SHA-1 and the algorithm isapproximated by MAC=H(K+OPAD∥H(K+IPAD∥M), where K is a key of somelength, K+ is some padding to the key, H( ) is applying the hashfunction and the symbol ∥ refers to concatenation. Values OPAD and IPADare constants. In one embodiment, the hash algorithm is executed twiceto generate the message authentication code and the result can betruncated. In one embodiment, the message authentication code istruncated to a length of 128 bits.

In one embodiment, the code generator includes a clock. A time stampvalue provided by the clock serves as the code.

In one embodiment, both the implantable device and the external deviceeach include an internal clock. At the outset of a communicationsession, the clocks are synchronized using a near field communicationlink. In one embodiment, the clocks are synchronized using an inductivelink. The sending device transmits a time stamp value in plain text foreach message, or frame. In addition, the sending device transmits amessage authentication code generated as a function of the time stampvalue and the message. The receiving device compares the received timestamp value with a current time value provided by its own internalclock. If the received time stamp value and the current time valueprovided by the internal clock of the receiving device are notsufficiently close, then the message is presumed to be a replay attackand the message is discarded. In one embodiment, time values that differby no more than 8 seconds are deemed to be timely. The receiving deviceuses the received time stamp value to generate a message authenticationcode for comparison with the received message authentication code.

In one embodiment, rather than exchange a plain text copy of the timestamp value, the internal clocks of the implantable device and theexternal device are synchronized at the outset of a communicationsession. The clocks are synchronized to within a predetermined level ofaccuracy and each message that is sent includes the current time stampvalue as generated by the sending device. To authenticate a message, thereceiving device compares the received time stamp value with its owninternal clock value. To compensate for clock errors, the time valuesare rounded or truncated to a predetermined level and if the clock valueis within a predetermined margin of a clock transition, then both theearly and late time values are checked. For example, in one embodiment,the time values are rounded to the nearest 8 second value and if thetransition edge is within one second of the next value, then both theearly and late values are compared.

In one embodiment, each device includes a random (or pseudo random)number generator which functions as the code generator. The numbergenerators utilize the same seed value. The seed is a starting valueused in generating a sequence of random or pseudo random numbers. Theseed value, in one embodiment, is exchanged at the outset of acommunication session using a near field communication link and forsubsequent exchanges in that session, the value provided by the codegenerator does not need to be sent with each frame. In one embodiment,the value provided by the number generator is sent in plain text witheach frame.

In one embodiment, if the communication link is bidirectional, andmessages from both the implantable device and the external device are tobe authenticated, then both devices include a code generator.

To authenticate messages in one embodiment, the code is selected by thedevice that is receiving the message. If data to be authenticated is tobe communicated in a single transmission, then prior to thattransmission, the receiving device is configured to first request acode. In a session where the communication link is bi-directional andwhere both the implantable device and the external device areauthenticating messages, then the code for any particular message isconveyed in the prior exchange.

In one embodiment, a static key is utilized to provide identificationand a dynamic code is utilized to provide a measure of freshness. In oneembodiment, the key is dynamic and the changing value of the key as afunction of time provides a measure of freshness. A dynamic key isprovided by a key generator and in various embodiments, the keygenerator includes a number generator or a clock. In such an embodiment,the key is utilized in the hashing algorithm. In one embodiment, the keyis combined with a time stamp. At least one of any combination of thekey and the code can be combined with the message. For example, in oneembodiment, the key and the code are logically combined and used in theHASH algorithm. Other methods of combining are also contemplated. In oneembodiment, the implantable device and the external device are seededwith the same initial value and their random number generators provide amatching sequence of numbers. In one embodiment, the code is omitted andonly a dynamic key is utilized.

It is to be understood that the above description is intended to beillustrative, and not restrictive. For example, the above-describedembodiments, or any portion thereof, may be used in combination witheach other. In the appended claims, the phrase “any combination”includes a single element as well as multiple elements. Otherembodiments will be apparent to those of skill in the art upon reviewingthis document.

1. An implantable device comprising: a receiver configured to receivedata corresponding to a message and a first hash value generated as afunction of the message; a memory coupled to the receiver and configuredto store a key and the message; a hash value generator coupled to thememory and configured to generate a second hash value as a function ofthe key and the message; and a comparator coupled to the hash valuegenerator and configured to determine if the first hash value differsfrom the second hash value.
 2. The device of claim 1 further including aclock configured to provide a time stamp to the memory and wherein thesecond hash value is generated as a function of the time stamp.
 3. Thedevice of claim 1 further including a number generator coupled to thememory and wherein the second hash value is generated as a function of anumber provided by the number generator.
 4. The device of claim 3wherein the number generator includes at least one of any combination ofa random number generator and a pseudo random number generator.
 5. Thedevice of claim 1 further including a key generator coupled to thememory and wherein the key is generated dynamically.
 6. The device ofclaim 1 further including a therapy or monitoring circuit coupled to thereceiver.
 7. The device of claim 1 further including an inductivetelemetry channel coupled to the memory.
 8. The device of claim 1wherein the hash value generator is configured to implement SHA-1. 9.The device of claim 1 wherein the hash value generator includes aprocessor and executable instructions.
 10. A method comprising:receiving data at an implantable device, the data corresponding to amessage and a first hash value generated as a function of the message;storing a key and the message in a memory of the implantable device;generating a second hash value as a function of the key and the message;and comparing the first hash value and the second hash value.
 11. Themethod of claim 10 further including storing a code in the memory andwherein the second hash value is generated as a function of the code.12. The method of claim 11 wherein the code includes a time stamp. 13.The method of claim 10 wherein storing the key includes communicatingwith a near field communication link.
 14. A device comprising: anon-implantable transceiver configured to receive data from animplantable device corresponding to a message and a first hash valuegenerated as a function of the message; a memory coupled to thetransceiver and configured to store a key and the message; a hash valuegenerator coupled to the memory and configured to generate a second hashvalue as a function of the key and the message; and a comparator coupledto the hash value generator and configured to determine if the firsthash value differs from the second hash value.
 15. The device of claim14 wherein the transceiver includes a near field telemetry antennaconfigured to receive the key.
 16. The device of claim 14 wherein thetransceiver is configured for far field telemetry.
 17. The device ofclaim 14 further including a code generator coupled to the transceiver,wherein the code generator provides a freshness code for a subsequentmessage.
 18. The device of claim 17 wherein the code generator includesat least one of any combination of a clock and a random numbergenerator.
 19. A system comprising: an implantable device including: afirst far field transceiver; a first processor coupled to the first farfield transceiver; and a first memory coupled to the first processor;and an electrical circuit coupled to the processor; and an externaldevice including: a second far field transceiver; a second processorcoupled to the second far field transceiver; a second memory coupled tothe second processor; and a data port coupled to the processor; andwherein at least one of any combination of the first processor andsecond processor are adapted to execute instructions to implement anencryption algorithm configured to generate a ciphertext based on a codegenerated by the first processor, a key stored in the first memory andthe second memory and a message; and wherein at least one of anycombination of the first processor and second processor are adapted toexecute instructions to implement a decryption algorithm configured todecrypt the message from the ciphertext based on the code and the key.20. The system of claim 19 wherein the implantable device includes aninductive telemetry coil coupled to the processor and adapted tocommunicate the key.
 21. The system of claim 19 wherein the externaldevice includes an inductive telemetry coil coupled to the processor andadapted to communicate the key.
 22. The system of claim 19 wherein theelectrical circuit includes a therapy circuit.
 23. The system of claim19 wherein the electrical circuit includes a monitoring circuit.
 24. Thesystem of claim 19 wherein the data port includes at least one of anycombination of a keyboard, a mouse, a controller, a data storage device,a network connection, a modem and a data bus.
 25. A system comprising:an implantable device including: a first far field transceiver; a firstprocessor coupled to the first far field transceiver; and a first memorycoupled to the first processor; and an electrical circuit coupled to theprocessor; and an external device including: a second far fieldtransceiver; a second processor coupled to the second far fieldtransceiver; a second memory coupled to the second processor; and a dataport coupled to the second processor; and wherein at least one of anycombination of the first processor and second processor are adapted toexecute instructions to generate a first hash value based on a codegenerated by the first processor, a key stored in the first memory andthe second memory and a message; and wherein at least one of anycombination of the first processor and second processor are adapted toexecute instructions to generate a second hash value based on themessage, the code and the key and adapted to compare the first hashvalue and the second hash value.
 26. The system of claim 25 furtherincluding an inductive telemetry coil coupled to the first processor andadapted to communicate the key.
 27. The system of claim 25 furtherincluding an inductive telemetry coil coupled to the second processorand adapted to communicate the key.
 28. The system of claim 25 whereinthe electrical circuit includes a therapy circuit.
 29. The system ofclaim 25 wherein the electrical circuit includes a monitoring circuit.30. The system of claim 25 wherein the data port includes at least oneof any combination of a keyboard, a mouse, a controller, a data storagedevice, a network connection, a modem and a data bus.
 31. A methodcomprising: receiving a code from a first device; storing a key in thefirst device and in a second device, wherein at least one of the firstdevice and the second device is implantable; generating a ciphertext atthe second device, the ciphertext generated as a function of the code,the key and a message; receiving the ciphertext at the first device;decrypting the ciphertext at the first device to receive the message,the message decrypted as a function of the code and the key; andauthenticating the message at the first device.
 32. The method of claim31 wherein receiving the code includes receiving a random number. 33.The method of claim 31 wherein receiving the code includes receiving atime stamp.
 34. The method of claim 31 wherein authenticating themessage includes checking an identification code included in themessage.
 35. The method of claim 34 wherein checking the identificationcode includes comparing the identification code and a stored value. 36.The method of claim 31 wherein authenticating the message includeschecking an error detection code included in the message.
 37. The methodof claim 36 wherein checking the error detection code includes:generating a calculated value as a function of the message; andcomparing the calculated value and the error detection code.
 38. Themethod of claim 36 wherein checking the error detection code includeschecking a cyclic redundancy code.
 39. The method of claim 31 whereinstoring the key includes generating a key.
 40. The method of claim 39wherein generating the key includes calculating a key as a function ofstored data in the first device.
 41. The method of claim 40 whereincalculating the key as a function of stored data includes accessing amemory having stored data based on at least one of any combination of adevice serial number, a date of manufacture, a time of manufacture, adevice model number and a measured characteristic of the device.
 42. Themethod of claim 40 wherein calculating the key includes executing ahashing algorithm.
 43. The method of claim 31 wherein storing the key inthe first device includes communicating via an inductive coupling. 44.The method of claim 31 wherein storing the key in the second deviceincludes communicating via an inductive coupling.
 45. The method ofclaim 31 wherein storing the key includes encrypting the key.
 46. Themethod of claim 31 wherein generating the first ciphertext includesexecuting an algorithm selected from at least one of any combination ofData Encryption Standard (DES), Triple Data Encryption Standard (3DES),Advanced Encryption Standard (AES), International Data EncryptionAlgorithm (IDEA), Blowfish and CAST.
 47. A method comprising: receivinga code from a first device; storing a key in the first device and in asecond device, wherein at least one of the first device and the seconddevice is implantable; generating a first hash value at the seconddevice, the first hash value generated as a function of the code, thekey and a message; receiving the message and the first hash value at thefirst device; generating a second hash value at the first device, thesecond hash value generated as a function of the code, the key and themessage; and comparing the first hash value and the second hash value atthe first device.
 48. The method of claim 47 wherein receiving the codeincludes a receiving a random number.
 49. The method of claim 47 whereinreceiving the code includes at least one of any combination of receivinga time stamp and generating a time stamp.
 50. The method of claim 47wherein storing the key includes generating a key.
 51. The method ofclaim 50 wherein generating the key includes calculating a key as afunction of stored data in the first device.
 52. The method of claim 51wherein calculating the key includes calculating a third hash value. 53.The method of claim 47 wherein storing the key in the first deviceincludes communicating via an inductive coupling.
 54. The method ofclaim 47 wherein storing the key in the second device includescommunicating via an inductive coupling.
 55. The method of claim 47wherein storing the key includes encrypting the key.
 56. The method ofclaim 47 wherein at least one of any combination of generating the firsthash value and generating the second hash value includes executing ahashing algorithm.
 57. The method of claim 56 wherein executing thehashing algorithm includes executing at least one of any combination ofa secure hash standard algorithm and a message-digest algorithm.
 58. Themethod of claim 57 wherein executing a secure hash standard algorithmincludes executing at least one of any combination of SHA-1 and SHA-256.59. The method of claim 57 wherein executing a message-digest algorithmincludes executing at least one of any combination of MD2, MD4 and MD5.